Patient Complaints With Primary Versus Revision Rhinoplasty: Analysis and Practice Implications
Patient Complaints With Primary Versus Revision Rhinoplasty: Analysis and Practice Implications
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DOI：
10.1177/1090820x11417427
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发表时间：
2011-09-01
影响因子：
2.9
通讯作者：
Adamson, Peter A.
中科院分区：
文献类型：
--
作者：
Chauhan, Nitin;Alexander, Ashlin J.;Adamson, Peter A.
背景资料：鼻整形术患者往往提出具体的问题，并经常在他们的要求和期望的手术experience.Objectives：作者评估提出的投诉表示在鼻整形术咨询过程中，并比较介绍的主要与修订rhinoplasty patients.Methods：400例连续鼻整形术患者进行了回顾性分析。记录人口统计学信息和患者对鼻部外观和功能的关注。比较了初次和翻修患者的投诉频率（以及等级顺序）。统计学显着的协会进行了比较，更详细地通过logistic回归models.Results：初级鼻整形患者显着更容易引用“太大”和“背驼峰”作为激励的关注。相反，鼻整形手术后的患者更有可能提到对“歪鼻子”、“鼻尖不对称”、“鼻孔宽或大”、“背侧单桅帆”和“鼻小柱显示”的担忧。翻修鼻成形术患者也抱怨诸如“鼻回缩”、“尖头”和“鼻疤痕”等问题，这些问题在初次鼻成形术组中的发生率几乎可以忽略不计。结论：初次鼻成形术患者通常寻求更小、更精致的鼻部外观。以前做过隆鼻手术的患者更有可能引起对弯曲或不对称的担忧。通过比较初次鼻整形术和翻修鼻整形术患者的临床表现，并描述翻修手术的常见适应症，新手鼻整形术医生可能能够在一开始就避免某些陷阱，从而降低翻修率。这些数据还可以帮助外科医生在翻修手术中制定更有针对性的咨询方法。
Background: Rhinoplasty patients often present with specific concerns and are frequently exacting in their demands and expectations of the surgical experience.Objectives: The authors assess the presenting complaints expressed during the rhinoplasty consultation process and compare the presentations of primary versus revision rhinoplasty patients.Methods: A retrospective review of 400 consecutive rhinoplasty patients was performed. Demographic information and patient concerns regarding nasal appearance and function were recorded. Complaint frequencies (as well as rank order) were compared between primary and revision patients. Statistically significant associations were compared in more detail through logistic regression models.Results: Primary rhinoplasty patients were significantly more likely to cite "too large" and "dorsal hump" as motivating concerns. Conversely, revision rhinoplasty patients were far more likely to cite concern regarding a "crooked nose," " tip asymmetry," " wide or large nostrils," " dorsal sloop," and "columellar show." Revision rhinoplasty patients also complained of issues such as " alar retraction," "pointy tip," and " nasal scarring," which were almost negligible in frequency in the primary rhinoplasty group.Conclusions: Patients presenting for primary rhinoplasty commonly seek a smaller, more refined nasal appearance. Patients with prior rhinoplasty operations are far more likely to raise concern regarding crookedness or asymmetries. By comparing the presentations of primary and revision rhinoplasty patients-and delineating the common indications for revision operations-novice rhinoplasty surgeons may be able to avoid certain pitfalls at the outset, thereby reducing their revision rates. The data may also assist surgeons in developing a more targeted approach to the consultation process in the revision setting.